Latest / Pharmacy Podcast Network / Grow, Know, and Optimize: Insights from Outcomes Ambassadors | Outcomes®

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Grow, Know, and Optimize: Insights from Outcomes Ambassadors | Outcomes® · Pharmacy Podcast Network

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Speaker 1: You are listening to the global network of podcasters dedicated
0:09
Speaker 1: to the pharmacy profession. Welcome to the Pharmacy podcast Network.
0:26
Speaker 2: Outcomes is a leading provider of integrated pharmacy workflow and
0:30
Speaker 2: patient engagement solutions, serving pharmacies, patients, payers, and pharmaceutical companies.
0:36
Speaker 2: By combining advanced technology with strong clinical relationships, Outcomes connects
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Speaker 2: a nationwide healthcare network of more than forty eight thousand
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Speaker 2: active pharmacies, delivering access and quality care to over one
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Speaker 2: hundred and thirty million patients. This series highlights real pharmacists
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Speaker 2: who have successfully leveraged the Outcome Suite solutions to transform
0:56
Speaker 2: their businesses. Through these tools, they've discovered new ways to
1:00
Speaker 2: grow revenue by offering clinical services, gained actionable insights into
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Speaker 2: the health of their operations, and optimize workflows for maximum efficiency.
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Speaker 2: The impact goes beyond financial performance. Pharmacies are saving time,
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Speaker 2: reducing administrative burdens, and alleviating staff burnout. By embracing Outcomes,
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Speaker 2: these pharmacists are not only improving patient care, but also
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Speaker 2: creating sustainable, profitable practices in an increasingly complex healthcare environment.
1:27
Speaker 2: Their stories demonstrate how innovation and connectivity can empower pharmacies
1:32
Speaker 2: to thrive today and prepare for the future.
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Speaker 3: Hey, welcome to a special three part series where we're
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Speaker 3: diving into some stories some helpful discussions with pharmacy operators
1:44
Speaker 3: from the team at Outcomes. I want to say thank
1:47
Speaker 3: you to Outcomes for much of what you're doing, not
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Speaker 3: only in pharmacy, but for us as a publication. We
1:54
Speaker 3: were able to partner with Outcomes at several conferences, including
2:00
Speaker 3: the Sincora thought Spot event. It was so much fun
2:04
Speaker 3: meeting so many people there. I have a special friend
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Speaker 3: that I've known for several years and he has been
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Speaker 3: an inspiration to me as an entrepreneur, because entrepreneurship is
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Speaker 3: it's a it's a hard, hard ship to be on.
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Speaker 3: You get tossed about in the waters of business and
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Speaker 3: what happens. From Spruce Mountain Pharmacy. Steve Mackie, it's so
2:27
Speaker 3: good to see you.
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Speaker 4: Great to see you, Glad to be on the podcast
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Speaker 4: with you today.
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Speaker 3: All right, so Spruce Mountain Pharmacy talk to us about
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Speaker 3: the organization. Let's talk about you're a pharmacy student, you're
2:42
Speaker 3: going through pharmacy school. What did you think you wanted
2:46
Speaker 3: to do? And then how in the world you become
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Speaker 3: a pharmacy owner.
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Speaker 4: We could be here for a whole Yeah, hard on
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Speaker 4: that discuss that.
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Speaker 3: Get ready, Get ready for a twenty four hour podcast.
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Speaker 4: Exactly. Sit down, grab a cup of coffee, grab put
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Speaker 4: your feet up, and listen to the enjoyment of my story.
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Speaker 5: To become an entrepreneur. I was actually a University Rhode
3:12
Speaker 5: Island grad. We were in business administration class and our professor,
3:18
Speaker 5: doctor Tobman, was talking about independent pharmacies the future, and
3:23
Speaker 5: he actually used the word extinction back in the early nineties,
3:27
Speaker 5: that independent pharmacy was not going to survive the changes
3:30
Speaker 5: that were coming at us, which kind of bummed me
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Speaker 5: out because as a student of pharmacy, that was the
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Speaker 5: community pharmacy environment I was brought up and I wasn't
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Speaker 5: a hospital pharmacist. I wasn't clinical, I wasn't I love
3:43
Speaker 5: being community pharmacy and that's where I wanted to be.
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Speaker 5: So that kind of took me back for a minute,
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Speaker 5: going Wow, if that's going to be the case, then
3:54
Speaker 5: where are I going to be and what am I
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Speaker 5: going to do?
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Speaker 4: So fast forward to graduation.
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Speaker 5: I ended up working for or a couple of the
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Speaker 5: bigger chains regional chains, But the smoldering thought was always
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Speaker 5: in the back of my mind. Am I going to
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Speaker 5: do this? Am I going to open the independent pharmacy?
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Speaker 5: Do I have what it takes? So fortunately for me,
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Speaker 5: I did have the ability to work for some of
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Speaker 5: the bigger chains, so I got a chance to develop
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Speaker 5: my skill set. You know, how do I manage workflow?
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Speaker 5: How do I hire the right people? How do I
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Speaker 5: build a team? How do I utilize technology to make
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Speaker 5: my pharmacy work efficiently, work harder, work smarter, not harder?
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Speaker 4: So lo and behold we got out.
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Speaker 5: I Finally, my lovely wife had an epiphany for me
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Speaker 5: at one point in time, because I've been talking about
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Speaker 5: the independent pharmacy idea. She said, you're either going to
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Speaker 5: do this or you're not. I don't care which way
4:51
Speaker 5: you go, but you've got to do this because you'll
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Speaker 5: always be wondering should I have?
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Speaker 4: Could I have? What I have? And that was the
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Speaker 4: inspiration I needed.
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Speaker 5: I started moving my mindset to what does it take
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Speaker 5: to open to pharmacy? How do I get open to
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Speaker 5: a pharmacy? And then, you know, as any entrepreneur, you're
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Speaker 5: going to have some stumbles. You're going to have some splits,
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Speaker 5: You're going to have some falls, and eventually, you know,
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Speaker 5: Spruce Mountain Pharmacy came alive in two thousand and nine.
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Speaker 4: At that point in time, as.
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Speaker 5: I was starting to build this, we didn't have a location,
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Speaker 5: we didn't have P and L Street, we didn't have loans.
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Speaker 5: All of these thoughts that went screaming through my head
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Speaker 5: as an entrepreneur is how do you do this one
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Speaker 5: small step at a time.
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Speaker 4: And I did, and I had some mentors I had
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Speaker 4: done it before me.
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Speaker 5: I had the ability to lean into people, to talk
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Speaker 5: to people, and I had a community that was really
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Speaker 5: invested in an independent pharmacy coming back into the j community.
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Speaker 5: So I had a lot of community involvement, a lot
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Speaker 5: of community support, support from my friends, my family, and
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Speaker 5: then I was able to stobslutely pulling pieces together to
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Speaker 5: get the doors open. In two thousand and nine, Scru's
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Speaker 5: Mountain Pharmacy opened its door.
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Speaker 3: Sixteen years later, here we are. That's that's amazing, and
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Speaker 3: that's the year that we started the Pharmacy podcast. It
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Speaker 3: was the first in the entire profession of pharmacy. And
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Speaker 3: sixteen years later, I'm talking to people like you that
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Speaker 3: are leveraging technology, the advocacy and the profession that's in
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Speaker 3: your heart. Steve. It means that that's why I like
6:30
Speaker 3: that you're in my network. I can reach out to
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Speaker 3: you and say, Hey, what's happening in Maine. What's going
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Speaker 3: on with several sectors of pharmacy. How's that impacting patient care?
6:40
Speaker 3: What about payment? Talk to us a little bit about
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Speaker 3: advocacy of how important that that is. That you're giving
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Speaker 3: back to your state. But also you do give back
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Speaker 3: to the nation too, But let's focus in on what
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Speaker 3: you're doing in your state.
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Speaker 5: From as standpoint of advocacy, it's Rondahuser from ncpah Ends
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Speaker 5: at best, get into politics or get out of pharmacy.
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Speaker 5: You've got to be involved in the politics. We don't
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Speaker 5: like to do it. We love doing what we do
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Speaker 5: as pharmacists. There are certain hats we don't like to wear,
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Speaker 5: but we have to wear. And that's the most important point.
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Speaker 5: Inviting your local legislators. I had my local state senator
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Speaker 5: into my pharmacy for two hours while she was serving
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Speaker 5: her term, and we asked questions.
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Speaker 4: We dialogue.
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Speaker 5: We talked about medication therapy management, we talked about cmrs,
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Speaker 5: We talked about PBMs, We talked about serving the community
7:37
Speaker 5: to the.
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Speaker 4: Best of our ability.
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Speaker 5: What does it take to develop talent, What does it
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Speaker 5: take to find quality candidates and help develop the job
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Speaker 5: pool from adult education classes all the way.
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Speaker 4: To high school students.
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Speaker 5: What can we do to help promote the business of pharmacy,
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Speaker 5: the trades, whatever the situation is, what can we do
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Speaker 5: to help better the situation to be able to make
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Speaker 5: sure that we have quality employees working in our pharmacies.
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Speaker 5: In fact, I've actually partnered with our local high school
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Speaker 5: Sposce Mountain High school Sposce Mountain Pharmacy was first, and
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Speaker 5: then Spooce Mountain High School came along when the local
8:14
Speaker 5: talents merged.
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Speaker 4: So just a little little sidelight there.
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Speaker 5: And I've actually had a couple of students come through
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Speaker 5: as co ops, so part of their senior year, they're
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Speaker 5: working for me during their school hours, learning and developing
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Speaker 5: an appreciation for pharmacy, so that way when they go
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Speaker 5: to pharmacy school in the fall, they actually had a
8:33
Speaker 5: better idea. And we've successfully seen three of those. Two
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Speaker 5: of those students go through to completion and are now
8:40
Speaker 5: pharmacists in the profession. So it's really a cool opportunity
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Speaker 5: to see grow, develop, nerve to that next generation of
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Speaker 5: pharmacy students and to advocate for the profession and to
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Speaker 5: kind of give them the guidance of the mentors that
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Speaker 5: I had. I can be the mentors to them as
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Speaker 5: they go forward and they enter their professional career.
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Speaker 3: Steve, you and I can share a little bit of
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Speaker 3: this and the demographic that we're in, the age that
9:09
Speaker 3: we're in together, where we've seen our business before the internet.
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Speaker 3: For God's sakes, I'm making me feel like an old man.
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Speaker 3: But now the evolution of technology, the impact of pharmacy,
9:27
Speaker 3: it's accelerating faster right now. I've been in this for
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Speaker 3: twenty one years. It's accelerating right now, faster than it
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Speaker 3: ever has been accelerating. With how to leverage data, you
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Speaker 3: have to I mean, you have to trust the technology
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Speaker 3: and the platforms that you're using to put your business
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Speaker 3: on top of so that you can execute and make
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Speaker 3: the right decisions based on the data that you're leveraging,
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Speaker 3: based on the reporting that leveraging.
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Speaker 4: What is that inf structure?
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Speaker 3: What system did you pick to to move forward and
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Speaker 3: to grow your business through and what's most unique about
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Speaker 3: about that system? Computer RX, for example, I mean, that's
10:12
Speaker 3: been your system for a while, and the organization's been around,
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Speaker 3: well known, well trusted, has been the backbone of independent
10:21
Speaker 3: community pharmacy for years in a technology space. But I
10:24
Speaker 3: want to hear it from your perspective.
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Speaker 4: I think backbone is the exact perfect word to use
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Speaker 4: for your pharmacy management system.
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Speaker 5: I've been a computer RX user, like I said, for
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Speaker 5: a long time.
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Speaker 4: I'm trying to remember how long it's been.
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Speaker 5: It's got to be at least thirteen, if not fourteen
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Speaker 5: years at this point in time.
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Speaker 4: I did start off with another software vendor before I
10:49
Speaker 4: came over to computer OURX.
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Speaker 5: No, when you start a business, you don't know what
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Speaker 5: you don't know to realize you don't know it. And
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Speaker 5: the first system we brought in here we thought was
10:59
Speaker 5: going to be a good fit for us. We thought
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Speaker 5: it was going to be dynamic and robust and ended
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Speaker 5: up falling flat.
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Speaker 4: Computer RX was exactly what I hoped it was going.
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Speaker 5: To be when I brought it in and when I
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Speaker 5: opened my pharmacy.
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Speaker 4: It is the backbone.
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Speaker 5: You've got to choose your pharmacy software platform because everything
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Speaker 5: else circles around that, from developing your technicians to be
11:24
Speaker 5: able to do data entry, to be able to do
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Speaker 5: inventory ordering.
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Speaker 4: You know, MTM, medsinc.
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Speaker 5: Everything links up to how well that system works. So
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Speaker 5: I'm very fortunate to be able to be a computer
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Speaker 5: RX user and to be able to have the different
11:42
Speaker 5: levels of reporting data, ease of use. It's a really
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Speaker 5: good system for us to work with and I've had
11:52
Speaker 5: success with it. Let's say in fact, as data becomes
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Speaker 5: more and more prevalent in every one of our lives,
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Speaker 5: from pharmicist to technician to bookkeeper, information is the new currency.
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Speaker 4: The more you control.
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Speaker 5: Your data, the more you know about your data, the
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Speaker 5: more you can figure out how to use your data
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Speaker 5: to your advantage. It's going to make your life easier.
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Speaker 5: It's going to make you more efficient and more effective.
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Speaker 5: Have I missed deep during this whole process. It's growing,
12:19
Speaker 5: as you said, we're growing by leaps and bounds, and
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Speaker 5: it seems like that ten year cycle of seeing technology
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Speaker 5: change and push forward, it seems like it's about every
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Speaker 5: ten seconds. So there's definitely a lot of change going
12:31
Speaker 5: on in the environment.
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Speaker 4: But being able.
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Speaker 5: To have a partnership with computer RX outcomes to be
12:38
Speaker 5: able to allow my team to be able to be integrated,
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Speaker 5: to be able to pull data, to be able to
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Speaker 5: make informed decisions based on data analysis, makes us smarter
12:49
Speaker 5: and more efficient.
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Speaker 3: There's a profitability side of this too, and it has
12:54
Speaker 3: to be there with the challenges that we're getting beat
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Speaker 3: up of reimbursement and how PBMs are just extracting the
13:04
Speaker 3: majority of the revenue it feels like, and leaving pharmacyes
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Speaker 3: to dry up and pharmacy deserts to kind of consume.
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Speaker 3: One of the things that Spruce Mountain Pharmacy has done
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Speaker 3: that links back to the systems that you rely on,
13:21
Speaker 3: is the diversification of the services that you're offering your community.
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Speaker 3: So not only is it the prescription services and medication management,
13:29
Speaker 3: but you're leaning into compounding, and you're leaning into assisted
13:34
Speaker 3: living and maybe a little bit of long term care.
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Speaker 3: But talk to us about the diversification of the business
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Speaker 3: and how you're evolving it and how that backbone, that
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Speaker 3: computer r X system is.
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Speaker 4: Part of that. YEP.
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Speaker 5: Certainly as over the ten years when the PBMs started
13:56
Speaker 5: to do the dir fees, it didn't take long for
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Speaker 5: me to realize that there was going to be a
14:02
Speaker 5: bigger and bigger growth of extraction of my profitability because
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Speaker 5: there was no check and balance to how the dir
14:09
Speaker 5: F were being managed.
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Speaker 4: There was no check and balance on the PBMs.
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Speaker 6: That that alone raised enough red flags to be saying
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Speaker 6: that counting by fives, putting medication in files wasn't going
14:21
Speaker 6: to be where pharmacy was going to be ten, fifteen,
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Speaker 6: twenty years down the road.
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Speaker 5: My goal as the entrepreneur, as the business owner is
14:29
Speaker 5: to put that had on, try and see into the future,
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Speaker 5: grab the crystal ball and say where do I need
14:35
Speaker 5: to position the pharmacy so that as we go forward,
14:39
Speaker 5: we'll be able to be in a position where we're
14:42
Speaker 5: not reliant upon PBM structure and we're not reliant on reimbursements,
14:47
Speaker 5: that the PBMs are going to continue to squeeze and
14:49
Speaker 5: squeeze and squeeze until it can't get anything more out
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Speaker 5: of it.
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Speaker 4: So computer RX has been a great partner for us.
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Speaker 5: We partnered with our ex to bring in an LTT
15:01
Speaker 5: at home component to our pharmacy. So now ourx safe
15:06
Speaker 5: computer RX, I've got now a good stolid foundation for
15:11
Speaker 5: compliance medication that works with my LTC at home companionship
15:16
Speaker 5: to be able to make sure that we're helping our
15:17
Speaker 5: patients be able to stay at home, live more productively
15:20
Speaker 5: at home without having to use the nursing home coverage.
15:24
Speaker 5: We've also expanded our vaccine services to continue to grow
15:27
Speaker 5: and move into that area from where we were just
15:31
Speaker 5: doing flu ten years ago. Now we've expanded. You know,
15:35
Speaker 5: obviously the COVID nineteen vaccine rate has definitely generated a
15:40
Speaker 5: lot more interest in what pharmacies can do and how
15:43
Speaker 5: we vaccinate, and a lot of my community providers have
15:46
Speaker 5: leaned into us to be that source for them to
15:50
Speaker 5: be able to send their vaccine patients that are eligible
15:52
Speaker 5: for certain vaccines. And we're actually now doing the data
15:55
Speaker 5: mining with computer RX to pull out our patients that
15:59
Speaker 5: have fallen through the that may have missed some vaccines.
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Speaker 5: We'll add that to the compounding side once again. Computer
16:06
Speaker 5: RX has a compounding component built into their system that
16:09
Speaker 5: allows us to be flexible with our compounding rooms, to
16:13
Speaker 5: be able to keep everything in house, so to speak,
16:16
Speaker 5: without necessarily having a second software in the system that
16:20
Speaker 5: my technician and my staff have to figure out how
16:22
Speaker 5: to use and operate to be successful at making our
16:25
Speaker 5: compounds so it's it's a multi multi tiered level of
16:29
Speaker 5: how we operate in here just to try and help
16:32
Speaker 5: diversify the revenue stream and to continue to build the
16:36
Speaker 5: pharmacy to move forward without having to be solely reliant
16:40
Speaker 5: on the.
16:41
Speaker 4: Prescription side of things.
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Speaker 5: That's still a big part of what we do here
16:44
Speaker 5: because that's what people still see pharmacy being.
16:47
Speaker 4: Especially in my community.
16:49
Speaker 5: But then to be able to kind of grow into
16:52
Speaker 5: clinical services and that will be the next next frontier
16:56
Speaker 5: that we move into and push forward into.
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Speaker 3: Let's talk about revenue for a second, because as a
17:04
Speaker 3: as a company, as pharmacy, we have to be paying
17:07
Speaker 3: attention to where we're going to pick up some of
17:09
Speaker 3: the some of the revenue that we've lost based on
17:13
Speaker 3: some of the things that are happening at the at
17:15
Speaker 3: the reimbursement PBM level. But bigger than that, your clients,
17:21
Speaker 3: your your patients that are chronic disease suffers going through
17:26
Speaker 3: something Sometimes the physician either isn't accessible or isn't necessary
17:33
Speaker 3: as you know, to follow up on something where it
17:36
Speaker 3: maybe it's tied into medication management or ancillary services that
17:40
Speaker 3: surround that patient. So what about the future of pharmacists
17:47
Speaker 3: dialing into a clinical space, digging down into disease state management,
17:53
Speaker 3: and the possibility of revenue more revenue coming from that.
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Speaker 4: Talk to us about that.
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Speaker 5: I think that's going to be the new frontier for
18:01
Speaker 5: pharmacy now. I still think prescription dispensing will still be
18:05
Speaker 5: a big part of what we do is the pharmacy,
18:08
Speaker 5: but having that level of clinical services. As I talk
18:12
Speaker 5: to my friends over in the primary care side and
18:15
Speaker 5: other disciplines in the medical side, the prescription side of
18:19
Speaker 5: writing things, they're under the same pressure as we are.
18:22
Speaker 4: There's limited resources, diversity.
18:26
Speaker 5: Of help, not having access to primary care providers. Pharmacy
18:32
Speaker 5: can step in to do that, and traditionally that's kind
18:37
Speaker 5: of been a turf war between us and the other
18:39
Speaker 5: medical disciplines. But I think we need to be brave.
18:42
Speaker 5: We need to be bold, and we need to be
18:44
Speaker 5: able to show that we can help lift the burden
18:48
Speaker 5: upon all of the healthcare providers to say, hey, pharmacists
18:52
Speaker 5: are still the most accessible healthcare provider we have.
18:56
Speaker 4: Getting provider status.
18:58
Speaker 5: In all of our states is important, and then be
19:00
Speaker 5: able to figure out how to utilize that ability to
19:04
Speaker 5: provide quality and quantity of healthcare to our patients once again.
19:09
Speaker 4: To help lift the.
19:10
Speaker 5: Load for all of our medical professionals that are trying
19:14
Speaker 5: to provide good care for our patients. And I think
19:17
Speaker 5: we need to look at it as a team's approach
19:20
Speaker 5: and work together to develop that. It's a little pine
19:25
Speaker 5: in this guy, I know, but I think those are
19:27
Speaker 5: words that I'm hearing resonating and I'm hoping that from
19:31
Speaker 5: the provider side that they're going to see that that's
19:35
Speaker 5: a benefit that they can lean into, kind of like
19:38
Speaker 5: how we've leaned into and stepped into the vaccine role.
19:42
Speaker 4: We absolutely have.
19:43
Speaker 5: Roles in clinical disease, state management, diabetes education, and so
19:47
Speaker 5: on where we really can make big headways into providing
19:53
Speaker 5: quality care for our patients and improving patient outcomes.
19:57
Speaker 3: Leaning in I like that word because I want to
19:59
Speaker 3: know about lean into your technology infrastructure, your pharmacy management
20:04
Speaker 3: system computer RX to do things to take you to
20:09
Speaker 3: that next level. So what could you not live without,
20:12
Speaker 3: Like what's a function? There's a component in that system
20:16
Speaker 3: that's really helping you to grow your business.
20:22
Speaker 5: It comes back to what we just talked about a
20:23
Speaker 5: little while ago, talking about the data and the analytics.
20:27
Speaker 5: You know how do I mind out my vaccine patients
20:30
Speaker 5: that may have slipped through the cracks, that haven't gotten
20:32
Speaker 5: their shingle shot, haven't gotten their RSV shot. How do
20:35
Speaker 5: we mind our data to help patients get better outcomes?
20:39
Speaker 5: How do we mind information that's coming to us in
20:43
Speaker 5: the form of e scripts with lab values and expanding
20:47
Speaker 5: our care level to be able to say, hey, we're
20:51
Speaker 5: seeing the lab values of a diabetic.
20:53
Speaker 4: Patient at nine point five.
20:55
Speaker 5: Wait a minute, if goal is going to be six,
20:57
Speaker 5: what can we do to step in to guide that
21:00
Speaker 5: back into Can we provide diabetes education? Can we give
21:03
Speaker 5: feedback on dosing? Is there some sort of partnership and
21:08
Speaker 5: collaborative practice that we can form with our providers to
21:11
Speaker 5: help get a better outcome for our diabetic patients. So
21:16
Speaker 5: being able to use the data that computer RX can
21:19
Speaker 5: generate for me allows me the ability to be more
21:23
Speaker 5: efficient as a provider, to look more clinically at my
21:27
Speaker 5: patients to try and say, we have an opportunity here
21:30
Speaker 5: for a better outcome for this patient. Let's work collaboratively
21:33
Speaker 5: with a provider to be able to do that for
21:36
Speaker 5: our patients.
21:38
Speaker 3: All Right, I tell you what this has been a
21:41
Speaker 3: great catch up in conversation with you. Steve missed talking
21:46
Speaker 3: to you, so really appreciate that you've got time to
21:48
Speaker 3: come on the three part series here with Outcomes. Just
21:52
Speaker 3: a shout out to our listeners. You're curious about systems,
21:57
Speaker 3: You're curious about growing your clinical business, curious about things
22:01
Speaker 3: that you would would really like to dig into. Maybe
22:04
Speaker 3: that's not happening right now with the systems that you're
22:08
Speaker 3: tagged into. You should reach out to the Outcomes team
22:12
Speaker 3: and just ask a lot of questions. Ask Hey, where
22:14
Speaker 3: are you going with combining multiple parts of my business
22:19
Speaker 3: from one system so I don't have a bunch of
22:21
Speaker 3: different little systems you're doing. How are you leveraging AI
22:25
Speaker 3: and the future of data analytics and making sense of
22:27
Speaker 3: where I need to be paying attention to more more
22:30
Speaker 3: outcomes for revenue, not just outcomes for clinical that where
22:35
Speaker 3: it fits almost everything, Steve, because we rely on that
22:37
Speaker 3: too with outcomes of continuing education and using podcasting as
22:43
Speaker 3: news sources and so this has been so much fun
22:46
Speaker 3: to talk with you. Really appreciate your time, Steve.
22:50
Speaker 5: You are welcome to at any time. I love jumping
22:52
Speaker 5: in and being able to help and expand the knowledge
22:54
Speaker 5: of pharmacy and advocate for pharmacy.
22:56
Speaker 4: Wherever I can.
22:58
Speaker 3: Steve Mackie sprew Mountain Pharmacy, Good to talk to you.
23:03
Speaker 6: Hey.
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Speaker 3: For more information, check it out outcomes dot Com. Once again,
23:07
Speaker 3: that's outcomes dot Com. Thanks for listening to this three
23:11
Speaker 3: part series from Outcomes